Active NPI
Krista Casazza
- Sports Dietetics Nutrition Registered Dietitian
- Estero, FL
National Provider Identifier
1619569159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Dietetics Nutrition Registered Dietitian
- Practice address
- 13206 Lazzaro CT
Estero, FL 33928-6390 - Phone
- (205) 381-7051
- NPI assigned
- Feb 5, 2021
- Last updated
- Feb 5, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Dietetics Nutrition Registered Dietitian | 133VN1501X | Primary |
Addresses
Primary practice location
13206 Lazzaro CT
Estero, FL 33928-6390
Mailing address
13206 Lazzaro CT
Estero, FL 33928-6390
Phone (205) 381-7051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612483200000",
"number": "1619569159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13206 LAZZARO CT",
"city": "ESTERO",
"state": "FL",
"postal_code": "339286390",
"telephone_number": "205-381-7051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13206 LAZZARO CT",
"city": "ESTERO",
"state": "FL",
"postal_code": "339286390",
"telephone_number": "205-381-7051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASAZZA",
"first_name": "KRISTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-05",
"last_updated": "2021-02-05",
"certification_date": "2021-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1501X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Estero, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.